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Low-income residents in states that haven鈥檛 expanded Medicaid are in a tough spot: They don鈥檛 qualify for the subsidies that people with slightly higher incomes get to buy marketplace plans because of a glitch in the federal health law. But a court decision last year makes it easier for them to make good-faith estimates of a pay increase, and there is no financial penalty if they don鈥檛 hit that figure.
A new documentary, 鈥淚nHospitable,鈥 explores how disputes between big hospitals can leave patients with few options for care and imperil their health.
In August, Congress approved a $35 cap on what seniors will pay for insulin, but that change came too late to add to the online tool that helps Medicare beneficiaries compare dozens of drug and medical plans. Federal officials say beneficiaries who use insulin will have the opportunity to switch plans after open enrollment ends Dec. 7.
Private equity firms have shelled out almost $1 trillion to acquire nearly 8,000 health care businesses, in deals almost always hidden from federal regulators. The result: higher prices, lawsuits, and complaints about care.
California is collecting hundreds of millions of dollars a year in tax penalties from uninsured residents. The state was supposed to use the money to help lower costs for Californians who couldn鈥檛 afford insurance but hasn鈥檛 distributed any of the revenue it has collected 鈥 citing uncertain economic times.
For many Americans, it鈥檚 open enrollment season for 2023 health insurance. One listener asked: If you don鈥檛 have a job and are too old to be on your parents鈥 plan, does it make sense to rely on charity care? This episode breaks it all down.
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
Although control of Congress was still undecided Wednesday, Republicans seemed poised to take power in the House, while the fate of the Senate remained too close to call. Economic issues were at the top of voters鈥 minds, but abortion access also played a large role in their decisions.
Many of the pharmacies were small, independent operations that had decided not to participate next year because of the lowered reimbursement being offered. But they were surprised by an early dismissal, and some patients with specialized drug needs could face difficulties in the transition.
The nation鈥檚 largest private health system, HCA Healthcare, has faced years of scrutiny over its share of emergency room patients who are admitted to the hospital. And now U.S. Rep. Bill Pascrell, a Democrat from New Jersey, is calling for a federal investigation, prompting an escalating defense by the hospital system, based in Nashville, Tennessee.
Centene, the largest Medicaid managed-care company in the U.S., has thrown more than $26.9 million at political campaigns across the country since 2015, especially focused on states where it is wooing Medicaid contracts and settling accusations that it overbilled taxpayers. Among its tactics: Centene is skirting contribution limits by giving to candidates through its many subsidiaries.
The Affordable Care Act鈥檚 10th annual open-enrollment period began Nov. 1 and runs through Jan. 15, 2023, in most states. But for the first time, the health law seems to be enrolling Americans with far less controversy than in previous years. Meanwhile, as Election Day approaches, Democrats are focusing on GOP efforts to cut Social Security and Medicare. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Tami Luhby of CNN, and Julie Appleby of KHN join KHN鈥檚 Julie Rovner to discuss these topics and more. Also this week, Rovner interviews KHN鈥檚 Arthur Allen, who wrote the latest KNH-NPR Bill of the Month, about an old but still very expensive cancer drug.
State employees could receive checks ranging from $50 to thousands of dollars if they choose the right provider.
Complaints about misleading health insurance marketing are soaring. State insurance commissioners are taking notice. They鈥檝e created a shared internal database to monitor questionable business practices, and, in the future, they hope to provide a public-facing resource for consumers. In the meantime, consumers should shop wisely as open enrollment season begins.
We unmask the winner and runners-up in KHN鈥檚 fourth annual Halloween haiku competition 鈥 plus the original artwork they inspired as a special treat.
Consumers may find relief in some key changes made by Congress and the Biden administration, although other issues remain unsettled.
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
Despite the end of Jim Crow segregation, its legacy lives on in medical debt that disproportionately burdens Black communities.
When Katie Couric announced she had breast cancer, she urged women to get a mammogram 鈥 and, if they have dense breasts, to get supplemental screening by ultrasound. But medical experts point out that ultrasound and other auxiliary screenings haven鈥檛 been proven to do more than regular mammography in reducing mortality.
Abortion isn鈥檛 the only health issue voters will be asked to decide in state ballot questions next month. Proposals about medical debt, Medicaid expansion, and whether health care should be a right are on ballots in various states. Meanwhile, the latest lawsuit challenging the Affordable Care Act has expanded to cover all preventive care. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Victoria Knight of Axios join KHN鈥檚 Julie Rovner to discuss these topics and more.
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